This technical brief examines the results of the CS4FP Plus 2019 study of adolescent sexual and reproductive health (ASRH) service delivery in five West African countries (Côte d’Ivoire, Guinea, Mali, Mauritania, and Niger) and the degree to which ASRH service delivery in those countries aligns with the WHO/UNAIDS’s Global Standards for Quality Health Care Services for Adolescents. The brief also includes recommendations for policymakers and program planners in the five countries.